Active NPI
Clifford Vernor Dunn III, M.D.
- Family Medicine Physician
- Windsor, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 62665
- Practice address
- 851 Marshall Phelps Rd
Windsor, CT 06095 - Phone
- (860) 683-0756
- Fax
- (860) 683-1555
- NPI assigned
- Jul 5, 2007
- Last updated
- Jul 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6626822-1205 | UT | |
| Family Medicine Physician | 207Q00000X | 62665 | CT | Primary |
Addresses
Primary practice location
851 Marshall Phelps Rd
Windsor, CT 06095
Mailing address
851 Marshall Phelps Rd
Windsor, CT 06095-2100
Phone (860) 683-0756
Other practice location 1
577 S River Rd
St George, UT 84790-2097
Phone (435) 688-6000
Other practice location 2
577 S River Rd
St George, UT 84790-2097
Phone (435) 688-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900
151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800
151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882
151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100
151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159
2336 Dawson Rd
Suite 1500
Albany, GA 31707-2802
Phone (229) 312-8800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Hurricane Family Practice, PC | Family Medicine | Past | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
Interoperability endpoints
- clifford.dunn.1@8478.direct.athenahealth.com
- clifford.dunn@phoebehealth.gadirect.net
- https://api.platform.athenahealth.com/9149/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Family Medicine Physician
- Hurricane, UT
- NPI 1316071095
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1548468036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 MARSHALL PHELPS RD",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952100",
"telephone_number": "860-683-0756",
"fax_number": "860-683-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 MARSHALL PHELPS RD",
"city": "WINDSOR",
"state": "CT",
"postal_code": "06095",
"telephone_number": "860-683-0756",
"fax_number": "860-683-1555"
}
],
"practiceLocations": [
{
"address_1": "577 S River Rd",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847902097",
"country_code": "US",
"telephone_number": "435-688-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "577 S River Rd",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847902097",
"country_code": "US",
"telephone_number": "435-688-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNN",
"first_name": "CLIFFORD",
"middle_name": "VERNOR",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-05",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "6626822-1205",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "62665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.